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COMPLIANCE INFO_2023
EnvironmentalHealth
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1600 - Food Program
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PR0547668
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
9/21/2023 2:44:53 PM
Creation date
9/21/2023 2:44:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0547668
PE
1608
FACILITY_ID
FA0027138
FACILITY_NAME
MAMA'S TOUCH SPECIALTY COOKIES
STREET_NUMBER
21600
Direction
N
STREET_NAME
KENNEFICK
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
01
SITE_LOCATION
21600 N KENNEFICK RD
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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March 29, 2022 Lab ID : STK2233190 <br />Mike Wutzke Customer : 3-19150 <br />Certification:: I certify that this data package is in compliance with ELAP standards, both technically <br />and for completeness, except for any conditions listed above. Release of the data contained in this data <br />package is authorized by the Laboratory Director or his designee, as verified by the following electronic <br />signature. <br />ICD:MICH <br />Digitally signed by Kelly A, Dunnahoo, B.S. <br />Approved By Kelly A. Dunrtaltoo, B.S. Title: Laboratory Director <br />Date: 2022-03-29 <br />Page 2 of 5
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